MS. PENELOPE ROSE VAN SICKLE


Address: 904 Sumner St, Lincoln, NE 68502-2154
Phone: 4024342670

MS. PENELOPE ROSE VAN SICKLE (NPI# 1528316387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528316387
Entity Type Individual
Full Name MS. PENELOPE ROSE VAN SICKLE
Credential CTA
Practice Address 904 Sumner St
Lincoln
NE 68502-2154
Mailing Address 2444 O St
Lincoln
NE 68510-1125
Practice Telephone 4024342670
Practice Fax Number 4024342672
Mailing Telephone 4024757666
Mailing Fax Number 4024769623
Enumeration Date 2012-08-27
Last Update Date 2012-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 470398819 05

Office Location

Street Address 904 SUMNER ST
City LINCOLN
State NE
Zip Code 68502-2154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356699714 Asif Emdad Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1295285534 Allyson B Rickertsen Counselor 904 Sumner St, Lincoln, NE 68502 2016-10-11
1093063133 Landon A Crow Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-21
1225386691 Michael Bruce Rickertsen Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1932457314 Lonnie Clarence Steggs Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1184972564 Deanna Kay Johnson Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1003164476 Kendra Noel Rolfes Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1114275583 Nathan Lynn Olson Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982228524 Denison J Salisbury Chiropractor 3121 South 11th St, Lincoln, NE 68502 2020-05-29
1194207142 Stephanie Delgado Counselor 1640 Lake Street, Lincoln, NE 68502 2018-09-05
1598259640 Jh Wellness Services, LLC Social Worker 2737 S 12th St, Lincoln, NE 68502 2018-06-20
1508365776 Karen Sloboda Chiropractor 3121 South 11th Street, Lincoln, NE 68502 2018-02-02
1417472762 Nusp1, P.C. Chiropractor 3245 Pioneers Blvd, Lincoln, NE 68502 2017-08-08
1467976308 Bryan Health Connect Preferred Provider Organization 2300 S 16th Street, Lincoln, NE 68502 2017-08-02
1235586348 Justin Cook Chiropractor 3121 S. 11th St., Lincoln, NE 68502 2016-05-18
1316319924 Cari Musgrove Pharmacist 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 2015-10-22
1164866976 Trevor Gregath Psychiatry & Neurology 2222 S 16th St Ste 340, Lincoln, NE 68502 2013-04-23
1023374808 Nebraska Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1550 South St L, Lincoln, NE 68502 2012-04-06
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083266175 Molly Mckewon Community Health Worker 2301 O Street, Ste 1, Lincoln, NE 68510-1124 2019-07-10
1518489806 Jessica Debuhr Community Health Worker 2301 O St Ste 1, Lincoln, NE 68510-1100 2017-07-09
1689096794 Randolph Thurber Community Health Worker 2501 Q St, Ste 111, Lincoln, NE 68503-3539 2014-01-08
1992144026 Laurie Bayless Community Health Worker 4112 Touzalin Ave, Lincoln, NE 68507 2013-06-21
1831448349 Steve Dawson Community Health Worker 904 Sumner Street, Lincoln, NE 68502-2154 2012-08-30
1356699714 Asif Emdad Community Health Worker 904 Sumner St, Lincoln, NE 68502-2154 2012-08-16
1891951026 Lynnette Marie Witherell Community Health Worker 1500 7th St, Lincoln, IL 62656-2284 2008-08-07
1891958450 Sharon Kay Bartek Community Health Worker 5012 Lowell Ave Apt East, Lincoln, NE 68506-5469 2008-07-03
1588297220 Paige Schnee Community Health Worker 2301 O St Ste 1, Lincoln, NE 68510-1100 2020-02-21
1386281293 Efrain Jimenez Community Health Worker 2301 O St Ste 1, Lincoln, NE 68510-1100 2019-12-10
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Competitor

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City LINCOLN
Zip Code 68502

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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